Sfeermaker Form E.S.K.V. Attila
Eindhoven Student Korfball Association Attila
Full Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Prefer not to say
Date of Birth
*
-
Day
-
Month
Year
Date
Contact Number
*
-
Country Code
Phone Number
Email Address
*
Preferably a gmail account
Address
*
Street + Number
Street Address Line 2
City
Postal / Zip Code
Study institution
Date of graduation
If you are still studying, leave this question empty.
Membership
*
Please Select
Sfeermaker
Yearly contribution: €30,-. Amount is subject to change.
I register for the year
blanks
*
/
blank
*
.
I agree with the privacy policy of E.S.K.V. Attila: https://drive.google.com/file/d/1hwbG1N7rj4s_4KgbJOo2o6t84X9p0M1P/view?usp=sharing
*
Yes
No
I agree that my sponsorship will be tacitly continued every year
*
Yes
No
Signature
*
Place, date
Continue
Continue
Should be Empty: